Schatzker system is widely accepted and used to classify tibial plateau fractures. It is based on a 2D representation of the fracture. As a general rule, it can be divided into low-energy and lateral tibial plateau variants (types I-III) and high energy variants (type IV-VI). However, it does not include…
Author: Dr. Sulabh Kumar Shrestha, MS Orthopedics
He is the section editor of Orthopedics in Epomedicine. He searches for and share simpler ways to make complicated medical topics simple. He also loves writing poetry, listening and playing music.
Emergency Medicine 
Kaplan’s Lesion : Complex Dorsal MCP joint dislocation
What is Kaplan’s lesion? Metacarpophalangeal (MCP) joint dislocation: Complex (Irreducible) Dorsal Mechanism of injury: Hyperextension injury Involvement: Usually occurs on border digits (Index > Little finger) Characteristic position of index finger: Hyperextended at MCP rests on dorsum of metacarpal Deviated towards middle finger Slightly flexed middle & distal phalanx with…
Clinical Skills and Approaches 
Cellulitis vs Early Osteomyelitis – Clinical features
Often, one may find difficulty differentiating cellulitis from osteomyelitis in a patient presenting with signs of inflammation localized to an extremity. There are few points that must be kept in the back of head, that will help us to differentiate these two entities. 1. Overlying skin findings: In osteomyelitis, the…
Blog 
Quality in Living, Dignity in Dying
Most of us, we fear death like the children fear ghosts and seek for utopia forgetting that death is as natural as birth. In an essay “Of Death”, David Bacon writes, “Cogita quamdiu eadem feceris; mori velle, non tantum fortis aut miser, sed etiam fastidiosus potest” which translates as –…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Neuroanatomy Notes
This is a compilation of high yield topics on neuroanatomy with visual mnemonics and illustrations targeted for undergraduate medical students who find difficulty in conceptualizing the nervous system. Author: Dr. Sulabh Kumar Shrestha Key features: Covers clinically and academically important topics Schematic diagrams Visual mnemonics Useful for medical students, PG…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Calcium Channel Blockers : Mnemonic
Dihydropyridines Mnemonics:a. D for “-dipine”b. D for Dilation of vessels Nifedipine Nicardipine Isradipine Felodipine Amlodipine Non-dihydropyridines Mnemonics:a. N-D for Non “-dipines”b. N-D for Node supression + Dilation of vessels Verapamil Diltiazem
Emergency Medicine 
Acetaminophen (Paracetamol) Poisoning: Mnemonic Approach
Rule of 150 and 4 a. Begin treatment if: Paracetamol is ingested at a dose >150 mg/kg Threshold to begin treatment is half the dose (75 mg/kg) in high risk cases: 1. Regular ethanol consumption: >21 Units/week in male and >14 Units/week in female 2. Regular use of enzyme inducing…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Dengue Classification : Mnemonic
Probable Dengue Mnemonic: FEVeR TLC (Send Total Leukocyte Count in Fever) a. Feverb. Endemic area (living or travel)and 2 of –c. Vomiting and nausead. Rashe. Tourniquet test positivef. Leukopenia (EARLIEST sign)g. Cramps and cries (Aches and pains) Tourniquet test: Inflate the BP cuff between SBP and DBP and keep it…